GULF COAST COMMUNITY COLLEGE  

   REQUESTING E-MATERIALS

 Materials Request Form for E-Courses

       * Students who live in Bay County must come to the campus to obtain course materials and take exams.
* Please complete this form only if you live outside of Bay County and wish to have DVDs mailed and/or exams sent to an alternate site.
* You must be registered for the class before you order DVDs and tests, and other materials.
* You may order tests, course materials, and library books from this form.
* Go here to order a book from the bookstore.

First Name    
Last Name    
Telephone number  
Address line 1  
Address line 2  
City  
State  
Zip Code  
Email  
What are you requesting?  
DVD's
Test Materials
Library Books
Textbooks(s) please click here for the online bookstore purchase form
For DVD's please enter your class(es):  

(e.g. CHM 1040):

or library book titles:  
  Class one
  Class two
  Class three
  Book titles
(Library catalog link)
Comment?     
  Send my tests to:     
 

Verify your identity with the last four digits of your Social Security Number:   
How would you prefer to be contacted?     Phone  Email